Welcome, New York Providers
Contracted providers are an essential part of delivering quality care to our members. We value our partnership and appreciate the family-like relationship that you pass on to our members. As our partner, assisting you is one of our highest priorities. We welcome your feedback and look forward to supporting all your efforts to provide quality care. If you have any questions, please call Provider Relations at 1-877-353-9819.
Need a Prior Authorization?
PA Lookup tool is under maintenance.
Please refer to the state specific Excel matrix while the PA Lookup Tool is disabled.
SWH of NY and the Availity Provider Portal
On the Provider Portal you can:
- Check member eligibility and benefits
- Submit claims, send supporting documentation and check status
- View remittances and EOPs
- Access SWH of NY specific apps, resources, and news
New Availity users
If you have credentials for another payer, you’re all set to log in and start working with SWH of NY on Availity.
Already have Availity log-in information?
For Dates of Service prior to 4/1/2021 for SWH of NY MLTC, and 1/1/2022 for SWH of NY Medicare, please contact Provider Services.
Important Provider Documents
Provider Notice for all MAP/Medicare Network Providers
PA Code Matrix Q1 2022 - Medicaid Advantage Plus
It is important to Senior Whole Health of New York and your patients that your provider directory demographics are accurate. Please visit our Provider Online Directory at : providersearch.molinahealthcare.com to validate your information and notify us if there are any updates.
Please notify Senior Whole Health of New York at least 30 days in advance when you have any of the following:
⦁ Change in office location, office hours, phone, fax, or email
⦁ Addition or closure of office location
⦁ Addition or termination of a provider
⦁ Change in Tax ID and/or NPI
⦁ Open or close your practice to new patients (PCPs only)